Provider Demographics
NPI:1588807788
Name:FIGUEROA, SANDRA LILIANA (PTA)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LILIANA
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 SW 3RD ST APT 204
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1402
Mailing Address - Country:US
Mailing Address - Phone:954-394-2875
Mailing Address - Fax:
Practice Address - Street 1:8630 SW 3 STREET #204
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33302
Practice Address - Country:US
Practice Address - Phone:954-394-2875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21647225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant